|
Revasc intravasc lithotripsy
|
$12,150.00 |
$12,150.00 |
$12,150.00 |
$12,552.42
|
|
Revasc lithotr-ather tib/per
|
$22,840.80 |
$22,840.80 |
$22,840.80 |
$20,329.50
|
|
Revasc lithotrip-stent-ather
|
$39,096.00 |
$39,096.00 |
$39,096.00 |
$20,329.50
|
|
Revasc lithotrip tibi/perone
|
$11,419.20 |
$11,419.20 |
$11,419.20 |
$12,754.50
|
|
Revasc lithotr-stent tib/per
|
$22,840.80 |
$22,840.80 |
$22,840.80 |
$20,329.50
|
|
Revasc lith-sten-ath tib/per
|
$36,744.00 |
$36,744.00 |
$36,744.00 |
$20,329.50
|
|
Revision open av fistula without thromb
|
$15,375.60 |
$15,375.60 |
$15,375.60 |
$9,842.40
|
|
Revision tips
|
$11,076.60 |
$11,076.60 |
$11,076.60 |
$9,810.00
|
|
Revsc opn/prq tib/pero stent
|
$26,824.20 |
$26,824.20 |
$26,824.20 |
$11,094.73
|
|
Rf abltj nrv nrvtg si jt
|
$4,423.80 |
$4,423.80 |
$4,423.80 |
$2,509.91
|
|
Rheumatoid factor qualitative
|
$115.20 |
$115.20 |
$115.20 |
$54.60
|
|
Rheumatoid factor quantitative
|
$199.20 |
$199.20 |
$199.20 |
$59.40
|
|
Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe
|
$382.59 |
$382.59 |
$511.80 |
$224.40
|
|
Rho d immune globulin 50 mcg
|
$124.10 |
$124.10 |
$124.10 |
$124.10
|
|
Rho(d) immune globulin h, sd
|
$6,819.44 |
$6,819.44 |
$6,819.44 |
$1,551.00
|
|
R hrt cath chd abnl nt cnj
|
$10,327.20 |
$10,327.20 |
$10,327.20 |
$5,505.20
|
|
R hrt cath chd nml nt cnj
|
$10,327.20 |
$10,327.20 |
$10,327.20 |
$6,242.85
|
|
Right ventric recording
|
$3,994.20 |
$3,994.20 |
$3,994.20 |
$1,795.00
|
|
Ring fx reform 11-13x17mm
|
$645.60 |
$645.60 |
$645.60 |
$1,059.07
|
|
Risperidone microspheres 12.5 mg/2 ml inj
|
$1,771.44 |
$1,771.44 |
$1,771.44 |
$1,771.44
|
|
Rituximab 1,400 mg/11.7 ml (120 mg/ml)-hyaluronidase subcutaneous soln
|
$11,274.14 |
$11,274.14 |
$11,274.14 |
$17,105.60
|
|
Rituximab-pvvr 10 mg/ml intravenous solution
|
$13.05 |
$13.05 |
$13.05 |
$31.05
|
|
R&l hrt cath chd abnl nt cnj
|
$13,768.80 |
$13,768.80 |
$13,768.80 |
$6,242.85
|
|
R&l hrt cath chd nml nt cnj
|
$13,768.80 |
$13,768.80 |
$13,768.80 |
$5,938.32
|
|
Rmvl fecal impaction/fb spx under anes
|
$4,611.60 |
$4,611.60 |
$4,611.60 |
$1,857.00
|
|
Rmvl icd by tv extr
|
$3,314.40 |
$3,314.40 |
$3,314.40 |
$4,541.28
|
|
Rmvl icd gen w/rplc icd gen dual lead sys
|
$14,599.20 |
$14,599.20 |
$14,599.20 |
$26,317.20
|
|
Rmvl icd gen w/rplc icd gen mlt lead sys
|
$14,599.20 |
$14,599.20 |
$14,599.20 |
$36,067.20
|
|
Rmvl icd gen w/rplc icd gen sgl lead sys
|
$14,599.20 |
$14,599.20 |
$14,599.20 |
$27,258.51
|
|
Rmvl icd pulse gen only
|
$3,314.40 |
$3,314.40 |
$3,314.40 |
$4,069.52
|
|
Rmvl ndwellg tun pleural cath
|
$419.40 |
$419.40 |
$419.40 |
$1,046.70
|
|
Rmvl perm pm pulse gen
|
$3,314.40 |
$3,314.40 |
$3,314.40 |
$6,820.50
|
|
Rmvl pm gen w/rplc pm gen mlt lead sys
|
$11,408.40 |
$11,408.40 |
$11,408.40 |
$18,635.50
|
|
Rmvl pm gen w/rplc pm gen sgl lead sys
|
$11,408.40 |
$11,408.40 |
$11,408.40 |
$11,241.96
|
|
Rmvl pq iabp
|
$1,116.60 |
$1,116.60 |
$1,116.60 |
$1,116.00
|
|
Rmvl pq vad left hrt vein sep session
|
$4,249.20 |
$4,249.20 |
$4,249.20 |
$3,145.16
|
|
Rmvl sq defib electrode
|
$4,189.80 |
$4,189.80 |
$4,189.80 |
$4,294.57
|
|
Rmvl subq card rhythm mntr
|
$1,997.40 |
$1,997.40 |
$1,997.40 |
$2,052.00
|
|
Rmvl tv pm lead dual
|
$5,021.40 |
$5,021.40 |
$5,021.40 |
$4,028.20
|
|
Rmvl tv pm lead sgl
|
$5,021.40 |
$5,021.40 |
$5,021.40 |
$4,028.20
|
|
Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper)
|
$3,921.00 |
$3,921.00 |
$3,921.00 |
$5,400.67
|
|
Ropivacaine 0.2 % epidural pca - 1 hour dose limit
|
$1,299.15 |
$1,299.15 |
$1,299.15 |
$60.40
|
|
Rpl non-tun cvc wo sbq prt/pmp
|
$5,804.40 |
$5,804.40 |
$5,804.40 |
$2,193.60
|
|
Rp loclzj tum 2+area 1+d img
|
$2,062.20 |
$2,062.20 |
$2,062.20 |
$1,234.70
|
|
Rp loclzj tum spect w/ct 1
|
$3,463.80 |
$3,463.80 |
$3,463.80 |
$2,505.00
|
|
Rp loclzj tum spect w/ct 2
|
$4,849.80 |
$4,849.80 |
$4,849.80 |
$3,139.20
|
|
Rpl picc wo subq port/pump incl image guidnc w/s&i
|
$6,202.20 |
$6,202.20 |
$6,202.20 |
$2,182.05
|
|
Rpl tun-cvad w subq port
|
$7,095.60 |
$7,095.60 |
$7,095.60 |
$4,341.66
|
|
Rpl tun-cvad w subq pump
|
$7,740.00 |
$7,740.00 |
$7,740.00 |
$4,440.98
|
|
Rpl tun cvc wo subq port
|
$5,983.20 |
$5,983.20 |
$5,983.20 |
$4,115.61
|
|
Rsv assay w/optic
|
$175.20 |
$175.20 |
$175.20 |
$64.13
|
|
Rubella antibody igg
|
$214.20 |
$214.20 |
$214.20 |
$73.05
|
|
Rubeola antibody igg
|
$142.20 |
$142.20 |
$142.20 |
$80.00
|
|
Russell viper venom diluted
|
$234.00 |
$234.00 |
$234.00 |
$73.03
|
|
Sacituzumab govitecan-hziy 180 mg intravenous solution
|
$25.22 |
$25.22 |
$25.22 |
$1,441.80
|
|
Scan duplex abd/pelvis/retroperitoneal complete
|
$2,194.80 |
$2,194.80 |
$2,194.80 |
$976.95
|
|
Scan duplex abd/pelvis/retroperitoneal limited
|
$1,080.00 |
$1,080.00 |
$1,080.00 |
$662.40
|
|
Scan duplex aorta/ivc/iliac or bypass grafts complete
|
$1,644.60 |
$1,644.60 |
$1,644.60 |
$782.61
|
|
Scan duplex aorta/ivc/iliac unilateral/limited
|
$986.40 |
$986.40 |
$986.40 |
$507.18
|
|
Scan duplex extracranial arteries unilateral/limited study
|
$729.00 |
$729.00 |
$729.00 |
$580.00
|
|
Scan duplex extremity veins unilateral/limited study
|
$1,120.20 |
$1,120.20 |
$1,278.60 |
$691.07
|
|
Scan duplex lower extremity arteries complete bilateral
|
$1,558.20 |
$1,558.20 |
$1,558.20 |
$955.50
|
|
Scan duplex lower extremity arteries unilateral/limited study left
|
$934.20 |
$934.20 |
$934.20 |
$611.00
|
|
Scan duplex upper extremity arteries unilateral/limited study left
|
$872.40 |
$872.40 |
$872.40 |
$527.80
|
|
Sclerotherapy fluid collection pq w/img
|
$2,148.60 |
$2,148.60 |
$2,148.60 |
$2,114.45
|
|
Screening Mammogram
|
$249.60 |
$249.60 |
$249.60 |
$287.12
|
|
Screening prostate cancer PSA
|
$315.60 |
$315.60 |
$315.60 |
$96.00
|
|
Sec art mech thrmbc non-intracranial add-on
|
$3,968.40 |
$3,968.40 |
$3,968.40 |
$4,565.60
|
|
Sedation moderate same physician performing a gastrointestinal endoscopic service >= 5 years initial 15 minutes intra-service time
|
$293.40 |
$293.40 |
$293.40 |
$194.35
|
|
Sedimentation rate erythrocyte automated
|
$128.40 |
$128.40 |
$128.40 |
$37.80
|
|
Select picture audiometry
|
$110.40 |
$110.40 |
$110.40 |
$84.00
|
|
Semen analysis presence/motility
|
$124.80 |
$124.80 |
$124.80 |
$74.75
|
|
Serpina1 gene
|
$359.40 |
$359.40 |
$359.40 |
$195.65
|
|
Set radiation therapy field
|
$1,447.20 |
$1,447.20 |
$1,447.20 |
$709.00
|
|
Set radiation therapy field
|
$2,223.60 |
$2,223.60 |
$2,223.60 |
$1,029.00
|
|
Set radiation therapy field
|
$2,759.40 |
$2,759.40 |
$2,759.40 |
$1,601.60
|
|
Shoe post-op mens m
|
$58.20 |
$58.20 |
$58.20 |
$29.76
|
|
Shoulder MRI (with and without contrast)
|
$1,165.20 |
$1,165.20 |
$1,165.20 |
$2,628.75
|
|
Shoulder MRI (with contrast)
|
$1,165.20 |
$1,165.20 |
$1,165.20 |
$2,353.60
|
|
Shoulder MRI (without contrast)
|
$1,165.20 |
$1,165.20 |
$1,165.20 |
$1,938.28
|
|
Shoulder X-ray
|
$391.20 |
$391.20 |
$391.20 |
$307.20
|
|
Shuntogram nonvascular supervision & interpretation
|
$285.00 |
$285.00 |
$285.00 |
$342.54
|
|
Sialidase enzyme assay
|
$88.80 |
$88.80 |
$88.80 |
$54.60
|
|
Sialography s&i
|
$258.00 |
$258.00 |
$258.00 |
$403.70
|
|
Sickling rbc
|
$131.40 |
$131.40 |
$131.40 |
$53.40
|
|
Sincalide 5 mcg solution for injection
|
$309.14 |
$309.14 |
$309.14 |
$309.14
|
|
Sinus CT scan (with and without contrast)
|
$542.40 |
$542.40 |
$542.40 |
$1,610.70
|
|
Sinus CT scan (with contrast)
|
$542.40 |
$542.40 |
$542.40 |
$1,419.18
|
|
Sinus CT scan (without contrast)
|
$542.40 |
$542.40 |
$542.40 |
$1,151.00
|
|
Sinus/juglr venogram s&i
|
$1,294.80 |
$1,294.80 |
$1,294.80 |
$2,052.67
|
|
Sirolimus, oral
|
$2,477.76 |
$2,477.76 |
$2,477.76 |
$19.16
|
|
Skin Biopsy
|
$456.60 |
$456.60 |
$456.60 |
$362.40
|
|
Sleep Study (Polysomnography)
|
$5,539.20 |
$5,539.20 |
$5,539.20 |
$4,043.20
|
|
Slp eval non-spch gen comm dev
|
$211.80 |
$211.80 |
$211.80 |
$285.09
|
|
Slp ther svc non-spch gen
|
$270.00 |
$270.00 |
$270.00 |
$172.50
|
|
Smear fluorescent and/or acid fast stain
|
$150.00 |
$150.00 |
$150.00 |
$50.70
|
|
Smear gram stain
|
$105.00 |
$105.00 |
$105.00 |
$48.00
|
|
Smear nasal eosinophil
|
$122.40 |
$122.40 |
$122.40 |
$50.00
|
|
Smear special stain inclusion bodies/parasites
|
$162.60 |
$162.60 |
$162.60 |
$60.00
|
|
Smear wet mount
|
$112.80 |
$112.80 |
$112.80 |
$55.90
|
